NPIMap

Organization Active NPI

Hotel California by the Sea Bellevue, LLC.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bellevue, WA
National Provider Identifier
1023506714
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
BHA.FS.60874242 Issued in WA
Legal business name
HOTEL CALIFORNIA BY THE SEA BELLEVUE, LLC.
Practice address
1601 114TH Ave SE Ste 180
Bellevue, WA 98004-6955
Phone
(844) 766-8717
NPI assigned
Apr 27, 2018
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bryan Bixler
Title
Chief Program Officer
Phone
(844) 766-8717

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X BHA.FS.60874242 WA
Adult Mental Health Clinic/Center 261QM0850X BHA.FS.60874242 WA
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X BHA.FS.60874242 WA Primary

Addresses

Primary practice location

1601 114TH Ave SE Ste 180
Bellevue, WA 98004-6955

Mailing address

3419 Via Lido Ste 145
Newport Beach, CA 92663-3908
Phone (844) 766-8717

National Provider Directory

National Provider Directory
Tax ID family
Hotel California by the Sea Bellevue LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1023506714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 VIA LIDO STE 145",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633908",
            "telephone_number": "844-766-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 114TH AVE SE STE 180",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046955",
            "telephone_number": "844-766-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOTEL CALIFORNIA BY THE SEA BELLEVUE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "BIXLER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "844-766-8717"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "BHA.FS.60874242",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "BHA.FS.60874242",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "BHA.FS.60874242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.